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OUTCOME OF ACUTE NONTRAUMATIC VITREOUS HEMORRHAGE IN HEALTHY PATIENTS

Pighin, María S., MD, FICO; Berrozpe, Clara, MD, PhD; Jürgens, Ignasi, MD, PhD

doi: 10.1097/IAE.0000000000002338
Original Study: PDF Only

Purpose: To compare outcomes in dense vitreous hemorrhage versus mild vitreous hemorrhage due to nontraumatic posterior vitreous detachment.

Methods: We compared 315 eyes, divided into 2 patient groups, one with dense and the other with mild vitreous hemorrhage. The main outcome measures were final mean best-corrected visual acuity, number of retinal tears, number of retinal detachments, and the number of pars plana vitrectomy and/or scleral buckle surgeries.

Results: In 33.4% of the patients, posterior vitreous detachment without complications was found. Retinal breaks after posterior vitreous detachment were found in 59% of the eyes. Rhegmatogenous retinal detachment was principally treated with pars plana vitrectomy and scleral buckle. In nonvisible fundus hemorrhage group, 44.4% of the patients underwent vitrectomy. In visible fundus hemorrhage group, 9.52% of the patients underwent pars plana vitrectomy. The mean final visual acuity was 20/25, without significant difference between groups (P = 0.064).

Conclusion: Acute, spontaneous, nontraumatic posterior vitreous separation with vitreous hemorrhage is associated with a high incidence of retinal complications. Close follow-up is necessary. We did not find significant differences in final visual acuity neither between the two groups nor among the treatments.

Vitreous hemorrhage after posterior vitreous detachment is associated with a high incidence of retinal complications. Aggressive management with early pars plana vitrectomy should be considered in some cases, although we did not find significant differences in final visual acuity.

Retina and Vitreous Department, Institut Català de Retina, Barcelona, Spain.

Reprint requests: María S. Pighin, MD, FICO, Institut Català de Retina, Ganduxer 117, Barcelona 08022, Spain; e-mail: solepin@gmail.com

None of the authors has any financial/conflicting interests to disclose.

© 2018 by Ophthalmic Communications Society, Inc.